ROUSE FAMILY MEDICAL CLINIC PA
NPI 1275665523
Family Medicine in Springdale, AR
About Rouse Family Medical Clinic Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROUSE FAMILY MEDICAL CLINIC PA (NPI 1275665523) is a healthcare organization registered as a family medicine in Springdale, Arkansas and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through February 6, 2027 and lists Cynthia Westacott, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rouse Family Medical Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Rouse Family Medical Clinic PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 04D0671825
Rouse Family Medical Clinic, P A · Springdale, ARFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Rouse Family Medical Clinic PA's NPI number?
The NPI number for Rouse Family Medical Clinic PA is 1275665523. It was assigned to this organization in the NPPES registry on March 12, 2007.
Where is Rouse Family Medical Clinic PA located?
Rouse Family Medical Clinic PA is located at 1306 S Pleasant St, Springdale, AR 72764. The listed phone number is (479) 443-0500.
What is Rouse Family Medical Clinic PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Rouse Family Medical Clinic PA enrolled in Medicare?
Yes. Rouse Family Medical Clinic PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rouse Family Medical Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Rouse Family Medical Clinic PA, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Rouse Family Medical Clinic PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D0671825) is associated with this NPI, valid through February 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Rouse Family Medical Clinic PA was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Rouse Family Medical Clinic Pa · NPI 1275665523
Family Medicine organization in Springdale, Arkansas. Organization record, active in the CMS NPPES registry since March 12, 2007.
## Identity
- **NPI:** 1275665523 (Entity type: Organization)
- **Enumerated:** March 12, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Cynthia Westacott, BILLING MANAGER
## Practice location
- **Address:** 1306 S PLEASANT ST, Springdale, AR 72764-6223
- **Phone:** (479) 443-0500 · **Fax:** (833) 449-3362
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 26, 2026
- **Other identifiers:** Other 012083557 (AR); Other 126089002 (AR); Other 122530000 (AR); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1275665523) · Data from the CMS NPPES public registry.